OneCare’s Dedication To Transparency

OneCare Vermont is committed to make information about the work we do easily available to everyone in a clear, reliable, and easy to understand manner. Below is a list of “common interest” items and frequently asked questions.

We also welcome specific ideas for additional information to include on this page. Please contact us if you have suggestions.

What is OneCare?

OneCare is a cooperative effort of providers who have pooled their resources and expertise to keep people healthy and well with a focus on increasing access to primary care, reducing deaths from suicide and drug overdose, and supporting Vermonters with chronic illnesses. This focus on keeping people healthy and well and containing costs is key to the agreement the state signed with the federal government and the providers of OneCare are central to this effort.

How is OneCare changing care?

Our work is in breaking down silos in care and enabling coordination, building care teams, and bringing providers together in new and different ways. We do this by providing caregivers with data, funding and best practices across the state so that our family, friends and fellow Vermonters, no matter where they live, get better care. To learn more about what this means for Vermonters and their providers, check out this two part series by WCAX:

WCAX OneCare Coverage, December 19, 2019

WCAX OneCare Coverage, December 20, 2019

OneCare Results

As an Accountable Care Organization, OneCare is accountable for both the quality and cost of health care. Each year, health care organizations and providers in OneCare work together to meet quality measures and to achieve shared savings. Organizations participating in OneCare may earn financial incentives for meeting or exceeding quality benchmarks.

OneCare is committed to supporting providers as they work to reach quality targets and achieve shared savings. Read more about our results, quality work plan, and shared savings on our results page. 

2021 Budget Overview

OneCare’s 2021 budget was approved by the Green Mountain Care Board (GMCB) on December 23, 2020. The 2021 budget supports the cooperative effort of thousands of providers across Vermont to stabilize health care costs and improve health for Vermonters. To be successful in improving patient experiences and outcomes in 2021, the approved budget makes possible OneCare’s continued support of participating providers in areas such as: data management, monitoring quality, managing and mitigating risk, and working with payers like Medicaid, Medicare, and commercial insurers. Download and view our full 2021 budget presentation on the GMCB website.

501(c)(3) Non-Profit Designation

While OneCare Vermont has always operated as a non-profit in that it budgets to break even each year, as a provider-informed Accountable Care Organization (ACO) it was required to follow federal ACO program rules which state that 75% of its board include provider representatives whose organizations can receive savings and funding from the ACO. This requirement makes OneCare ineligible for Vermont non-profit status because Vermont law does not allow non-profits to have more than 49% of its board to have a financial interest. In October 2020, OneCare applied to the IRS for 501(c)(3) tax status to more accurately reflect our commitment to transparency and value based reform efforts. On April 22, 2021, OneCare received notification that it has been recognized by the Federal Government as a 501(c)(3) organization for its commitment to supporting Vermont’s health care delivery and payment reform efforts.

This is validation that the federal government believes that OneCare meets the charitable purposes of a 501(c)(3) by lessening the government’s burden of healthcare through its partnership in the state of Vermont’s All Payer Model, and by the promotion of health in transition to value-based care, improved supports for primary care delivery, health care innovation, and primary prevention programs.


OneCare is governed by a board of managers that makes key financial and operational decisions. Our board is made up of providers from throughout the state and continuum of care, as well as consumers. The list of our current board members can be viewed on the OneCare leadership page. Each board meeting has a session open to the public. Meeting minutes are available here.

OneCare Vermont 2020 Form 990

OneCare Vermont is committed to transparency in our service to Vermont in support of the All Payer ACO Model. Submitting our Form 990 is a milestone for OneCare: the first tax return we are filing as a federally recognized not-for-profit 501(c)(3) organization, a designation which reflects our commitment to supporting Vermont’s health care delivery and payment reform efforts. Please note that this is a stub return which covers only the period in 2020 after OneCare filed its 501(c)(3) application with the IRS (October 26, 2020 through December 31, 2020).

Financial Audits

PricewaterhouseCoopers (PwC) audits OneCare’s financials and has given OneCare Vermont a clean audit report for 2017, 2018, 2019, and 2020. Use the links below to access financial audits for OneCare Vermont.

What if I have more questions?

If you have more questions about OneCare, please contact us.